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注意缺陷多动障碍倾向对青年期延迟折扣与拖延之间关系的调节作用。

Moderating effect of attention deficit hyperactivity disorder tendency on the relationship between delay discounting and procrastination in young adulthood.

作者信息

Oguchi Mana, Takahashi Toru, Nitta Yusuke, Kumano Hiroaki

机构信息

Graduate School of Human Sciences, Waseda University, 2-579-15, Mikajima, Tokorozawa-city, Saitama, Japan.

Japan Society for the Promotion of Science, Japan.

出版信息

Heliyon. 2023 Mar 24;9(4):e14834. doi: 10.1016/j.heliyon.2023.e14834. eCollection 2023 Apr.

DOI:10.1016/j.heliyon.2023.e14834
PMID:37025860
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10070913/
Abstract

Among adults with ADHD, one of the most common problems in daily life is procrastination. ADHD is characterized by attention as well as suboptimal decision-making deficits, indicating difficulty in making long-term reward choices. However, little is known about the relationship between suboptimal decision-making or temporal discounting (TD) and procrastination among adults with ADHD. This study aimed to investigate whether ADHD symptoms enhance the relationship between TD and procrastination. Fifty-eight university participants completed questionnaires about procrastination and an experimental task which measured TD rates in reward and punishment conditions. Only the reward condition showed that ADHD symptoms significantly strengthened the association between the TD rate and procrastination. This study revealed that even when ADHD symptoms were high, higher TD rates were associated with more procrastination, while lower TD rates were associated with less procrastination. The results suggest that procrastination interventions for adult ADHD-prone individuals need to pay attention to reward responses.

摘要

在患有注意力缺陷多动障碍(ADHD)的成年人中,日常生活中最常见的问题之一就是拖延。ADHD的特点是注意力不集中以及决策能力欠佳,这表明在做出长期奖励选择时存在困难。然而,对于患有ADHD的成年人来说,欠佳的决策能力或时间贴现(TD)与拖延之间的关系却鲜为人知。本研究旨在调查ADHD症状是否会增强TD与拖延之间的关系。58名大学参与者完成了关于拖延的问卷调查以及一项在奖励和惩罚条件下测量TD率的实验任务。只有奖励条件显示,ADHD症状显著加强了TD率与拖延之间的关联。这项研究表明,即使ADHD症状严重,较高的TD率也与更多的拖延相关,而较低的TD率则与较少的拖延相关。结果表明,针对易患ADHD的成年人的拖延干预措施需要关注奖励反应。

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引用本文的文献

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Modeling procrastination: Asymmetric decisions to act between the present and the future.建模拖延:现在和未来之间的不对称行动决策。
J Exp Psychol Gen. 2020 Feb;149(2):311-322. doi: 10.1037/xge0000643. Epub 2019 Jul 1.
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Transcranial direct current stimulation in attention-deficit hyperactivity disorder: A meta-analysis of neuropsychological deficits.经颅直流电刺激治疗注意缺陷多动障碍:神经心理学缺陷的荟萃分析。
PLoS One. 2019 Apr 12;14(4):e0215095. doi: 10.1371/journal.pone.0215095. eCollection 2019.
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Decision-Making Deficits in ADHD Are Not Related to Risk Seeking But to Suboptimal Decision-Making: Meta-Analytical and Novel Experimental Evidence.ADHD 中的决策缺陷与风险寻求无关,而是与次优决策有关:元分析和新的实验证据。
J Atten Disord. 2021 Feb;25(4):486-501. doi: 10.1177/1087054718815572. Epub 2018 Dec 6.
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Delay discounting of monetary gains and losses in adolescents with ADHD: Contribution of delay aversion to choice.注意缺陷多动障碍青少年的金钱收益和损失的延迟折扣:延迟厌恶对选择的影响。
Child Neuropsychol. 2019 May;25(4):528-547. doi: 10.1080/09297049.2018.1508563. Epub 2018 Aug 15.
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Preliminary evidence of altered neural response during intertemporal choice of losses in adult attention-deficit hyperactivity disorder.成人注意缺陷多动障碍在进行损失跨期选择时神经反应改变的初步证据。
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Deficient neural activity subserving decision-making during reward waiting time in intertemporal choice in adult attention-deficit hyperactivity disorder.在成人注意缺陷多动障碍的跨期选择中,在等待奖励期间进行决策时,神经活动不足。
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